Pedia

Question 1

Ganglionic megacolon; the absence of nerve cells and peristaltic waves in a section of the bowel.

Answer 1

Hirschsprung’s Disease

Question 2

Involuntary Voiding past the age when a child is expected to have attained bladder control.

Answer 2

Enuresis

Question 3

Intussusception is an invagination of the bowel lumen with the invaginated portion ______ passing distally into the ensheating outer portion via peristalsis

Answer 3

Intussusceptum

Question 4

The client has burns on both legs. These area appear white and leather-like. No blisters or bleeding are present and there is just a “small amount of pain.” How will the nurse categorize this injury.

Answer 4

Third degree burn

Question 5

Tissue graft in which donor and recipient are of different species.

Answer 5

Xenograft

Question 6

is the surgical division of the nonviable tough, inelastic mass of burnt tissue that results from ful-thickness circumferential abd bear-circumferential skin burns. Surgical release of the skin done to treat or prevent problems with distal circulation, or ventilation.

Answer 6

Escharotomy

Question 7

_________ is a binge eating combined with inappropriate ways of stopping eating such as self-induced vomiting (purging), abuse of laxatives and diuretics, or excessive exercise.

Answer 7

Bulimia Nervosa

Question 8

The nurse is assessing a child who might have diabetes. What fasting blood glucose laboratory values would help confirm a diagnosis of type 1 diabetes?

Answer 8

126 mg/dL

Question 9

Failure to thrive referes to children whose current weight or rate of weight gain is below the ______ percewntiles than that of other children of similar age ang gender.

Answer 9

3rd

Question 10

Is a cloudy insulin that works 2-4 hrs after injection, peaks after 6-12 hrs and remains active for 16-20 hrs.

Answer 10

Intermediate Acting Insulin

Question 11

When developing the plan of care for a newborn who has an imperforateanus and an oral intake restriction, which of the following activities should the nurse consider as most appropriate for the newborn’s emotional needs?

Answer 11

Inform the mother that the use of a pacifier is most helpful.

Question 12

A home care nurse provides instructions to the mother of an infant which cleft palette regarding feeding. Which statement if made by the mother indicates a need for further instruction?

Answer 12

• “I will use a nipple with a small hole to prevent choking.”

Question 13

A child is admitted with the diagnosis of glomerulonephritis. The nurse review the record of a child who is suspectued to have glomerulonephritis and expects to note brown coles urine. When performing a physical assessment, the nurse should expect to find:

Answer 13

Moderately elevated blood pressure, periorbital edema, proteineuria (4+), and
increased specific gravity (1.0)

Question 14

You are to administer activated charcoal to a child who has consumed numerous identified pills. Because the child has a decreased level of consciousness, your most appropriate action to administer charcoal would be which of the following?

Answer 14

Insert a nasogastric tube and administer the activated charcoal as ordered.

Question 15

5. The nurse is teaching the parents of a preschooler information about urinary tract infection and means of reducing their recurrence. Which statements by the parents indicates the need for additional teaching?

Answer 15

Soaking in a bubble bath will reduce meatel irritation.”

Question 16

Nurse Marisol is communication with the family of Baby David, a 9-months old who just returned to the nursing ward after surgical repair of cleft lip on the right side . Nurse Marisol would interrogate the student nurse if the infant is placed in which position at this time? (Select all that apply)

Answer 16

• Prone position
• On the stomach
• Back upright

Question 17

Nurse marisol is communicating with the family of Baby David, a 2-year-old child with a diagnosis intussusception. Nurse Marisol is reviewing Baby David’s record and expects not to observe which sign of this disorder on the documentation (Select all that apply)

Answer 17

Watery diarrhea
- Ribbon like stools
- Profuse projectile vomiting

Question 18

Nurse Marisol is reviewing the record of Baby David, and observes that the pediatrician has documented a diagnosis of Hirschprung’s disease. Nurse Marisol reviews the assessment findings documented in the record and questions the pediatrician if the following signs is seen in the record. (Select all that apply)

Answer 18

Diarrhea
- Projectile vomiting
- Regurgitation of feedings

Question 19

A student was burned in a jeepney accident. The entire front side of both arms was burned, both legs was completely burned, lower front torso and genitalia was burned. What is the burned surface area?

Answer 19

55%

Question 20

A student was burned in a jeepney accident. The entire front side of both arms was burned, both legs was completely burned, lower front torso and genitalia was burned. The nurse would compute that the total fluid requirement in the first 24 hours in the client with a body weight of 60 kilograms is which of the following?

Answer 20

13200 ml

Question 21

A toddler is hospitalized with severe dehydration. The nurse should assess the child for which possible complication?

Answer 21

hypokalemia

Question 22

. A 4 year old has diarrhea for several days, and her perineum is inflamed and almost excoriated. What nursing action are indicated?

Answer 22

Apply an ointment at the inflamed area to provide a moisture barrier
- Placed the child without underwear for brief periods to allow air to the area and
turn the child at least every two hours
- Turn the child at least every 2 hours

Question 23

The nurse establishes a nursing diagnosis of excess fluid volume related to inflammation at the glomerular basement membrane in a patient with acute glomerulonephritis. To best identify if the nursing diagnosis has resolved, the nurse will monitor for?

Answer 23

Hematuria

Question 24

. A nurse is evaluating an infant brought to the clinic with severe diarrhea. What signs and symptoms indicate that the infant has dehydration?

Answer 24

• Tachycardia
• Capillary refill greater than 3 secs
• Sunken Eyes and fontanel

Question 25

A patient has a burn on the back of the torso that is extremely red and painful but no blister are present. When you pressed on the skin it bleaches, you document this as a:

Answer 25

1st degree (superficial) burn

Question 26

When assessing the patient who has lower urinary tract infection, the nurse will initially ask about:

Answer 26

Pain with urination

Question 27

patient has experienced full thickness burns to the face and neck, as the nurse it is priority to:

Answer 27

Assess the airways

Question 28

A 1 month old breastfed infant is successfully rehydrated with oral rehydration solution ors for acute diarrhea. What instructions to the mother about breastfeeding should be included by the nurse?

Answer 28

Continue breastfeeding

Question 29

The nurse is collecting data on a 6 year old child admitted with a possible urinary tract infection. Which of the following vital sign might indicate the possibility of an infection?

Answer 29

Pulse rate of 135 bpm

Question 30

0. A newborn baby boy was seen to have cleft palate. When does cleft palate repair typically occur?

Answer 30

8 -12months

Question 31

A 7 years old has been having vomiting with diarrhea for 3 days. How do you expect the child to present clinically?

Answer 31

Sunken Eyeballs

Question 32

A patient has full-thickness burns on the front and back of both arms and hands. It is nursing priority to:

Answer 32

Elevate and extend the extremities

Question 33

Elevate and extend the extremities

Answer 33

Their kidney functioning is immature

Question 34

A mother brings her child in the office for follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty & hungry. As the RN, you suspect?

Answer 34

Diabetes Mellitus

Question 35

To prevent further urinary tract infection in a preschooler, what measure would you teach her mother?

Answer 35

Teach her to wipe her perineum front to back after voiding

Question 36

A patient with history diabetes is exhibiting sweating and slurred speech. What do you suspect is the cause?

Answer 36

Hypoglycemia

Question 37

A nurse is performing an assessment on a child. Which of the following would be indicative of a potential for urinary tract infection?

Answer 37

Holding urine while at school

Question 38

A child diagnosed with acute glomerulonephritis will most likely have a history of which of the following

Answer 38

Recent illness such as strep throat

Question 39

A child diagnosed with acute glomerulonephritis will most likely have a history of which of the following

Answer 39

Recent Illness such as strep throat

Question 40

Which of the following household items is the most harmful is swallowed?

Answer 40

Liquid or powdered automatic dishwashing detergent

Question 41

0. A patient is in acute phase of burn management. The patient experienced full thickness burns to the perineum and sacral area of the body. In the patient`s plan of care which nursing diagnosis is priority at this time?

Answer 41

Risk of infection

Question 42

Four sick children with type 1 diabetes have been admitted to the hospital. Which child is most at risk of developing hypoglycemia? The child with

Answer 42

Bacterial sepsis

Question 43

What does rule of tens not include for cleft lip and palate repair:

Answer 43

10 hematocrit

Question 44

3. A 15 year old who is type 1 diabetic, reports that she almost passes out during gym class. What information would you assess from the teenager?

Answer 44

Her eatig habits prior to gym class

Question 45

A preschooler with severe vomiting and diarrhea was admitted to the hospital. The vomiting has stopped and rehydration has begun intravenously. When should the nurse begin feeding the child solid food?

Answer 45

After the child has been rehydrated

Question 46

You are going over insulin administration education with a patient`s mother. Which statement by her raises concern?

Answer 46

• When she is sick I will hold her insulin

Question 47

What`s the best way to keep children from getting poisoned from over the counter as prescription medication?

Answer 47

all of the above

Question 48

The nurse is teaching an adolescent with diabetes about occurrences that can after insulin requirement. Which of the following occurrences should be emphasized?

Answer 48

Ilness, stress, growth, food intake, and excercise

Question 49

The nurse is caring for a child with type 1 diabetes. The nurse enters the child’s room and finds him diaphoretic and unable to be awakened. The nurse should anticipate which of the following emergency intervention?

Answer 49

Administering IV dextrose

Question 50

The nurse is teaching the mother of a child diagnosed with type 1 diabetes. The mother asks why her child must inject insulin and can’t take pills as her uncle does. Which reply is most appropriate?

Answer 50

The only way to replace insulin is by injection.”

Question 51

You are the telephone triage nurse and have received a call from a mother who states that her 4-year-old son has ingested an unknown amount of aspirin. She administered 15 ml of syrup of ipecac 20 minutes ago, but the child has not vomited yet. You instruct the mother to take which of the following actions?

Answer 51

Repeat the 15 ml syrup of ipecac now, and immediately take the child to the
Emergency Department

Question 52

The nurse tells a male adolescent with type 1 diabetes that if he begins to experience an insulin reaction while at a basketball game, should:

Answer 52

Buy a coke and hamburger

Question 53

A healthy, thriving 4-month-old baby suddenly experiences episodes of acute abdominal pain. The infant is admitted to the hospital with the diagnosis of misconception. In an interview with the nurse, the infant’s mother describes his behavior. The mother would most likely describe him as crying

Answer 53

Intermittently and drawing his knees to his chest